Bill To:


PROGRESSIVE NORTHERN INSURANCE
6300 WILSON MILLS ROAD - W33
MAYFIELD VILLAGE, PA 44143-2182

Services Rendered To:


Shelby Cheyenne/ Gully
109 W Oak Ln
Mannford, OK 74044
POLICY# 9182703463


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $1,000.00
    1
    $1,000.00
  2. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00
  3. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00
  4. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00
  5. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 419 Environmental Spill

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 266 Lottawatta Rd- Checotah, OK

    Ordinance Info: Paradise Point Cost Recovery Resolution 1621

Subtotal $2,830.00
Total Due $2,830.00


Updated
May 31, 2023 @ 10:07 am

Invoice updated by Geoffrey.

Status Update
May 31, 2023 @ 10:07 am

Status changed: Draft to Pending.